Healthcare Quarterly · 2005 · 12 citations · 9 references
Health ProfessionsChild HealthHealth PolicyHealth Care LeadershipHealthcare Quality ImprovementPatient SafetyClinical GovernanceHealth Care Decision-makingHealth Systems ManagementPatient Safety LeadershipPediatric Patient SafetyQuality Improvement StrategyChild Death Review Team ProcessesChild Health Workforce PlanningClinical Information IntegrationMortality ReportingPatient Safety In Healthcare SettingsPatient Safety In TeamsPediatric Health Services AdministrationQuality Improvement In Pediatrics
Table 2. Factors affecting implementation of the plan Facilitating factors Challenging factors A "burning platform" following two Fear of reprisal very tragic adverse events Strong leadership support Strong program and professional autonomy Good quality improvement culture Inconsistent follow-up of ideas and infrastructure and initiatives Well established morbidity and Fragmented risk-reporting mortality review processes systems Clinical information systems with Fragmented clinical information computerized provider order entry and systems electronic order set capability Committed teams Relatively young workforce Compelling mission to improve Inconsistent application of the health of children policies, procedures and guidelines
9
Human error: models and management
James Reason · BMJ · 2000 · 5.4K citations · Full text
Social Sciences, Human Resource Management, Organizational Behavior +12
COMMITTEE ON QUALITY OF HEALTH CARE IN AMERICA
Linda T. Kohn, Janet M. Corrigan, Molla S. Donaldson · 2000 · 1.5K citations